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Nursing HomeMedicaid

Capstone Healthcare of Hughes Springs

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

215 Fm 161 Business South, Hughes Springs, TX 7565669 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 32 Google reviews

5
4
3
2
1
Capstone Healthcare of Hughes Springs Nursing Home in Hughes Springs, TX — Street View
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What this means for your family

This facility is highly regarded for its compassionate staff and effective rehabilitation services. However, because of a past report regarding lost personal items, you should specifically ask management about their protocols for securing resident belongings and how they handle property disputes.

Google Reviews

Google Reviews

32 reviews analyzed
Families can expect a highly compassionate environment where staff members are frequently praised for treating residents like their own family. While the facility excels in rehabilitation and person-centered care, one serious historical report of lost personal property and poor communication regarding a resident's discharge should be addressed with management.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean9.0Activities9.0MedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation and skilled nursing services
  • Clean and secure facility environment
  • Engaging community events and activities

Concerns

  • Loss of resident personal property

Rating Trends

Tap a year to see what changed

2344.42019(7)4.02020(1)3.02021(2)5.02024(8)5.02025(12)4.82026(8)

Distribution

5
27
4
2
3
0
2
0
1
2

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I've heard wonderful things about how compassionate and attentive the nursing staff is here; how do you foster that culture of care among your team?
  • 2With the great feedback regarding your community events, what kind of social activities or group outings do residents typically participate in during the week?
  • 3Since the facility is so well-regarded for its cleanliness and security, what specific protocols do you have in place to ensure residents' personal belongings and valuables stay safe and organized?
  • 4How does the nursing team coordinate care and communication with families during medical emergencies or sudden changes in health status?
  • 5I noticed your high ratings for rehabilitation services; could you tell me more about how the skilled nursing and rehab teams work together to help residents regain their independence?
  • 6With the 4-star staffing rating, how do you ensure that the care remains consistent and personalized for each of your 69 residents?

Personalized based on this facility's data


Key Review Excerpts

The rehabilitation team is great as well, I have seen it first hand, as they have brought people back to a better quality of life, as I believe that is the goal of this facility

Local Guide · 2024★★★★★

The administrator personally visited with me about my concerns.

Family member · 2025★★★★★

I am a current tenant at Hughes Springs Seniors Apartments and Capstone of Hughes Springs is always doing events at our community, whether it be a lunching or calling Bingo they never disappoint.

Local resident/Community partner · 2025★★★★★
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
67%
Registered nurses for medical care
Total Nursing
4.24hrs
OK
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility36.7%
Worse than Avg
Here
36.7%
US
15.3%
TX
14.9%
Cass
16.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.0%
Worse than Avg
Here
35.0%
US
19.5%
TX
18.4%
Cass
22.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
TX
9.4%
Cass
14.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
14.4%
TX
16.1%
Cass
15.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
12.1%
TX
2.5%
Cass
8.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
19.4%
TX
14.2%
Cass
21.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Cass
87.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Cass
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (9.1)
4 complaint-triggered

This facility shows concerning patterns with recurring issues in resident assessments and care planning, fire safety systems, and medication management appearing across multiple surveys from 2023 through 2025. Families have filed complaints that triggered inspections, including serious issues involving resident abuse protection and dignity rights that continue to resurface. While the facility corrects deficiencies when cited, the persistent recurrence of problems in critical care areas suggests ongoing systemic challenges that families should carefully consider.

Feb 18, 2026Complaint
1
0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Apr 2, 2025Routine
8
0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Apr 2, 2025Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jan 28, 2025Complaint
1
0600ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Mar 20, 2024Routine
11
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0698ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0758ModerateCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 5, 2024Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

CAPSTONEHUGHES SPRINGS OPCO, LLC

Administrator

TROY KERSEY

Ownership & Management

Key personnel

Sanderson, ClarkOfficer / DirectorCapstone-hughes Springs Opco, LLCManagerMoman, MatthewManagerCapstone-hughe Springs Propco LLCAdp of the SnfMme Capital Holdings, LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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